CARING FOR THE WHOLE PERSON

Preparing Caregivers to Work as a Team to Care for Body, Mind, Soul, and Spirit of Sick Persons

  
 
A Workshop for Christian Health Providers and Pastoral Caregivers

September 25-27, 2006
Roberts Wesleyan College, N. Chili, NY

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Registration

Registration may be done by mail by printing out the available PDF Registration Form and sending it to our office. You may also wish to print a complete PDF Brochure for personal reference or to share with others who might be interested. 

Name:

        (Required field)

        E-mail

Address:

        Specialty

        Office Address

        City , State   ZIP Code

        Office Phone

        I prefer to be contacted at my office.

        Home Address

        City , State   ZIP Code

        Home Phone

        I prefer to be contacted at home.

Background Information:

What is your professional experience?

        

Describe your current involvement in health programs:

        

What are your expectations from this workshop?

        

Fee:

I have checked the row indicating my status, calculated my fee for the Workshop (plus CME credit as desired if I am a physician) and entered the total in the appropriate column, and will be sending a check for the full amount to the Mailing Address listed below:

Status 3 Days 2 Days* 1 Day*
Student/Missionary $90 $65 $40
Nurse/Pastor/Faculty $100 $75 $50
NP/PA/Counselor $150 $115 $75
Physician $200 $150 $100
+ CME credit (if desired) $250 $190 $125
Total (add and enter)

           *Participants may register for a portion of the workshop by special prior arrangement.

Mailing Address:

His Branches Inc., Attn. CWP Workshop, 340 Arnett Boulevard, Rochester, NY  14619

Comments:

Please give us your feedback and let us know about anyone you think might be interested in our activities so we can contact them. Thanks!